| NPI | 1700838273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 057076) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 057076) |
| 174400000X Specialist (Licence: FL 1892281) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 057076) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2017-03-22 |